Filtering by
- All Subjects: Mental Health
- Creators: Sanford School of Social and Family Dynamics
The sociological model of mental illness (Weitz, 2020, pp. 146-148) offers a much needed contrast to the disproportionate dominance of the medical model in research, public policy, and popular discourse (Weitz, 2020, pp. 145-146 & 158-160). Unfortunately, the sociological model receives little attention in comparison (Mulvaney, 2001), although there has been a slight revival in recent years. However, the bulk of research on mental illness within the sociological model is predominantly quantitative, relying heavily on statistics and reducing complex systemic processes to various separated variables (Chandler, 2019; Mullaney, 2016; Spates & Slatton, 2021). Both sociological and psychological research on mental illness tend to be dominated by a highly quantitative focus on ‘social factors’, and generally shy away from examining the role of macro-level social structures and institutions. Consequently, even the sociological model of mental illness tends to fall short of implicating the underlying socio-economic system as a potential contributor to psychological harm and distress. This paper offers critiques of the medical model of mental illness and highlights both the strengths and shortcomings of work in the sociological model. I will also attempt to address these issues by providing a sociological and philosophical analysis of how the capitalist socio-economic system, and systems of oppression in general, shapes social constructions of mental illness and inflicts chronic stress and stigma, leading to much of the psychological distress that many people currently experience.
Method: Twenty families with children 10 years and older were recruited to participate in a 3-week equine assisted learning program at a therapeutic riding center in Phoenix, Arizona. Sessions included groundwork activities with horses used to promote life skills using experiential learning theory. The study design included a mixed-method quasi-experimental one-group pretest posttest design using the following mental health instruments: Devereaux Student Strengths Assessment, Brief Family Assessment Measure (3 dimensions), and Family Satisfaction Scale to measure child social-emotional competence, family function, and family satisfaction, respectively. Acceptability was determined using a Likert-type questionnaire with open-ended questions to gain a qualitative thematic perspective of the experience.
Results: Preliminary pretest and posttest comparisons were statistically significant for improvements in family satisfaction (p = 0.001, M = -5.84, SD = 5.63), all three domains of family function (General Scale: p = 0.005, M = 6.84, SD = 9.20; Self-Rating Scale: p = 0.050, M = 6.53, SD = 12.89; and Dyadic Relationship Scale: p = 0.028, M = 3.47, SD = 7.18), and child social-emotional competence (p = 0.015, M = -4.05, SD 5.95). Effect sizes were moderate to large (d > 0.5) for all but one instrument (Self-Rating Scale), suggesting a considerable magnitude of change over the three-week period. The intervention was highly accepted among both children and adults. Themes of proximity, self-discovery, and regard for others emerged during evaluation of qualitative findings. Longitudinal comparisons of baseline and 3-month follow-up remain in-progress, a topic available for future discussion.
Discussion: Results help to validate equine assisted learning as a valuable tool in the promotion of child social-emotional intelligence strengthened in part by the promotion of family function and family satisfaction. For mental health professionals, these results serve as a reminder of the alternatives that are available, as well as the importance of partnerships within the community. For therapeutic riding centers, these results help equine professionals validate their programs and gain a foothold within the scientific community. Additionally, they invite future riding centers to follow course in incorporating evidence into their programs and examining new directions for growth within the mental health community.